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Those with Lebers disease (a hereditary eye condition) should also avoid B12 as it may worsen the condition

Low folate and B 12 concentrations have been correlated with depressive disorders (Reference Wesson, Levitt and Joffe10Reference Bell, Edman and Morrow15) , while evidence has suggested that both of these vitamins may enhance the effectiveness of antidepressants (Reference Almeida, Ford and Hirani16)

These values are only mildly increased above the normal range so I think the cholagitis/cholangiohepatitis is under control

or (b)a medicinal product that is for parenteral administration

Lipotropic, B12 Injection $49 per dose w/ medical consultation (PACKAGES AVAILABLE IN OFFICE) Frequency: 1-2 times per week Lose weight and improve energy levels with this specially formulated injection

Phentermine comes in immediate release oral capsules or tablets taken once or twice daily before meals